Organization
MARIO A LAMMOGLIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTANA OLIVER (PATIENT ACCOUNT MANAGER)
(979) 764-1474
Entity
Organization
Contact information
Practice address
1721 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Mailing address
1721 BIRMINGHAM RD, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K1859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199331301
—
TX
Enumeration date
01/24/2008
Last updated
03/13/2025
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